Very high bilirubin levels can have devastating neurodevelopmental effects on infants including hearing loss and
cerebral palsy. A previous study in our institution determined the rate of, and factors associated with, bilirubin
values above exchange transfusion level. Since this study the Bhutani nomogram was introduced to help identify infants
at risk of severe hyperbilirubinaemia. In our study we looked at the initial serum bilirubin taken in infants e36weeks
and e2.5kgs. Our results show that since this nomogram was introduced there has been a significant reduction in the
number of infants reaching exchange transfusion levels. We also showed that the Bhutani nomogram could successfully be
used in a population of unknown direct Coombs status.

Very high bilirubin levels can have devastating neurodevelopmental effects on infants including hearing loss and
cerebral palsy. A previous study in our institution determined the rate of, and factors associated with, bilirubin
values above exchange transfusion level. Since this study the Bhutani nomogram was introduced to help identify infants
at risk of severe hyperbilirubinaemia. In our study we looked at the initial serum bilirubin taken in infants e36weeks
and e2.5kgs. Our results show that since this nomogram was introduced there has been a significant reduction in the
number of infants reaching exchange transfusion levels. We also showed that the Bhutani nomogram could successfully be
used in a population of unknown direct Coombs status.

en

dc.language.iso

en

en

dc.publisher

Irish Medical Journal

en

dc.subject

HEARING DISORDERS

en

dc.subject

INFANT

en

dc.subject

CEREBRAL PALSY

en

dc.subject.other

BILIRUBIN

en

dc.title

The Bhutani Nomogram Reduces Incidence of Severe Hyperbilirubinaemia in Term and Near Term Infants

en

dc.type

Article

en

dc.identifier.journal

Irish Medical Journal

en

dc.description.funding

No funding

en

dc.description.province

Leinster

en

dc.description.peer-review

peer-review

en

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.